Victoria A Prindiville, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00663000 Issued in NJ

Practice address

25 E River Rd
Rumson, NJ 07760-1626

Phone

(630) 664-8252

NPI assigned

May 20, 2019

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1053978684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E RIVER RD",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601626",
            "telephone_number": "630-664-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E RIVER RD",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601626",
            "telephone_number": "630-664-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINDIVILLE",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00663000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer O'Dea, OTR
• Michelle O'Keefe, MS, CCC-SLP
• Amit Patel, RPH
• Joseph F Perry, D.D.S.
• Dina Polidori, PA-C
• Providing Hope, Inc.
• John Douglas Royall, M.D.
• Rumson Pharmacy NJ LLC (Rumson Pharmacy)
• Kelly Ryan-Gazdus, OTR
• Kristen Ryan, LPC

• Mental Health Counselor in Rumson, NJ
• Providers in Rumson, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.